Randall L Henderson, DO - Medicare Emergency Medicine in Mustang, OK

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Randall L Henderson, DO is a medicare enrolled "Emergency Medicine" physician in Mustang, Oklahoma. His current practice location is 1208 W Camellia Way, Mustang, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 314-5420.

Randall L Henderson is licensed to practice in Oklahoma (license number 5228) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225393275.

Contact Information

Randall L Henderson, DO
1208 W Camellia Way,
Mustang, OK 73064-1348
(405) 314-5420
Not Available

Map and Direction




Physician's Profile

Full NameRandall L Henderson
GenderMale
SpecialityEmergency Medicine
Location1208 W Camellia Way, Mustang, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225393275
  • Provider Enumeration Date: 07/05/2012
  • Last Update Date: 07/29/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3577711746
  • Enrollment ID: I20120912000716

Medical Identifiers

Medical identifiers for Randall L Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225393275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5228 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Randall L Henderson allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Oklahoma Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386874550
PECOS PAC ID: 1153468921
Enrollment ID: O20091027000755
Entity NameEmergency Services Of Oklahoma Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215249891
PECOS PAC ID: 8123209012
Enrollment ID: O20110225000085
Entity NameSouth Central Emergency Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558663724
PECOS PAC ID: 8224212949
Enrollment ID: O20110405000201
Entity NameOklahoma Emergency Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114239795
PECOS PAC ID: 3678757010
Enrollment ID: O20110411000211
Entity NameEmergency Physicians Of Mid-america Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063825297
PECOS PAC ID: 2062638661
Enrollment ID: O20140716001692

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randall L Henderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randall L Henderson, DO
1208 W Camellia Way,
Mustang, OK 73064-1348

Ph: (405) 314-5420		Randall L Henderson, DO
1208 W Camellia Way,
Mustang, OK 73064-1348

Ph: (405) 314-5420

Reviews and Comments


Emergency Medicine Doctors in Mustang, OK

Cody Rice,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7301 S Cimarron Rd, Mustang, OK 73064
Phone: 405-250-4110    
James R. Davis, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5525 Hidden Meadow Dr, Mustang, OK 73064
Phone: 405-376-5121    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.